JUSTIN NATHANIEL DORFMAN (D.O.) – Internal Medicine Physician, NPI 1053339432

JUSTIN NATHANIEL DORFMAN (D.O.) is a healthcare provider. based in Southborough, Massachusetts. specializing in FAMILY PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials D.O.. They hold a License No. 226691 (MA). The NPI Number for JUSTIN NATHANIEL DORFMAN (D.O.) is 1053339432

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN NATHANIEL DORFMAN (D.O.)
NPI
1053339432
Phone
(508) 460-3250
Address
24 NEWTON ST
Enumeration Date
17 July 2006
Last Update Date
2 June 2011

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
5084864472
Graduation Year
2002 (24 years ago)
PAC ID
2264435403
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20060809000085
Address ID
MA017721215SO24XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,900 FAMILY PRACTICE in MA

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Provider Addresses for JUSTIN NATHANIEL DORFMAN (D.O.)

  • 24;28, Newton Street, Southborough, Worcester County, Massachusetts, 01745, United States

    SOUTHBOROUGH, MA 017721215

    Phone: (508) 460-3250

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060809000085IFamily PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes194148$0
J1030Injection, methylprednisolone acetate, 40 mg11368$0
99213Established patient office or other outpatient visit, 20-29 minutes10485$0
20610Aspiration and/or injection of fluid from large joint10069$0
80061Blood test, lipids (cholesterol and triglycerides)7670$0
View full utilization report →

Insurance plans in this area (ZIP 01772)

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Provider's Procedures

JUSTIN NATHANIEL DORFMAN (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMA20610Aspiration and/or injection of large joint or joint capsule6352

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597755322View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Internal MedicineMA
-MA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Clinical PsychologistMA
-MA

Reviews

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Frequently asked questions

How do I look up JUSTIN NATHANIEL DORFMAN (D.O.) by NPI?
Use NPI 1053339432 when you need to reference JUSTIN NATHANIEL DORFMAN (D.O.) in forms, claims, or directories.
Is JUSTIN NATHANIEL DORFMAN (D.O.) currently active in the NPI registry?
CMS-published data lists JUSTIN NATHANIEL DORFMAN (D.O.) as an active registrant.
Does JUSTIN NATHANIEL DORFMAN (D.O.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for JUSTIN NATHANIEL DORFMAN (D.O.). Clinical services aligned with this taxonomy classification.
Does JUSTIN NATHANIEL DORFMAN (D.O.) practice in Massachusetts?
You will see Southborough, Massachusetts on file for JUSTIN NATHANIEL DORFMAN (D.O.) alongside any extra practice locations.
Is JUSTIN NATHANIEL DORFMAN (D.O.) a real provider?
This page reflects official NPPES data for NPI 1053339432. Always confirm identity and privileges with the practice and licensing boards.

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